Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › RICHLAND › TRI-CITY ORTHODONTICS

TRI-CITY ORTHODONTICS

NPI: 1376800474 · RICHLAND, WA 99352 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 04/13/2012

$609K
Total Medicaid Paid
2,496
Total Claims
2,454
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-06
Last Month

Provider Details

Authorized OfficialCOLLETTE, JONATHAN (PRESIDENT)
NPI Enumeration Date04/13/2012

Related Entities

Other providers sharing the same authorized official: COLLETTE, JONATHAN

ProviderCityStateTotal Paid
TRI-CITY ORTHODONTICS, LLC RICHLAND WA $2.87M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,630 $415K
2019 866 $194K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D8080 Comprehensive orthodontic treatment of the adolescent dentition 1,162 1,140 $459K
D8660 180 178 $56K
D8030 168 164 $55K
D0160 710 697 $29K
D0170 276 275 $9K